AHN 572 Cardiac Test 2 with 100% correct and verified answers 2024
1 view 0 purchase
Course
AHN 572 Cardiac
Institution
AHN 572 Cardiac
AHN 572 Cardiac Test 2 with 100% correct and verified answers 2024
Stage A: Pt at risk for VHD
Stage B: Pt w progressive VHD (mod to mod) and asymptomatic.
Stage C: Aysmptomatic pt who have reached criteria for severe VHD.
C1: Normal LV function
C2: Abnormal LV function
Stage D: Sympomati...
AHN 572 Cardiac Test 2 with 100%
correct and verified answers 2024
Stage A: Pt at risk for VHD
Stage B: Pt w progressive VHD (mod to mod) and
asymptomatic.
Stage C: Aysmptomatic pt who have reached criteria for
severe VHD.
C1: Normal LV function
C2: Abnormal LV function
Stage D: Sympomatic pts as a result of VHD - Correct
Answer-AHA/ACC VHD Guidelines
Mitral stenosis - Correct Answer-A 75 yof w/ loud S1 and
mid-diastolic murmur. Symptoms: chronic dyspnea 2/4,
fatigue, recent orthopnea and nocturnal palpitation and
pedal edema has what type of valvular HD
- rheumatic fever (40% w/ pure or predominant MS)
- scarring/fusion of valve apparatus
- congenital - rarely
2/3 female - Correct Answer-MS is primarily a result of
Vendarsol
,4-6 cm - Correct Answer-Normal mitral valve area
MVA 1.5-2.5 cm
LAP & CO usually normal
Asymptomatic to mild symptoms - Correct Answer-Mild
mitral stenosis
MVA 1.0 -1.5 cm usually no symptoms at rest - Correct
Answer-Moderate MS
MVA < 1.0 cm
Severe pulm HTN deveolps
Low CO & RHF predominate - Correct Answer-Severe MS
Low diastolic murmur low in pitch w/ increasing duration
throughout diastole
*Best heard @ apex w/ pt in L lateral position - Correct
Answer-MS
Paroxysmal and chronic afib - Correct Answer-With MS
_______ & __________ develops in 50-80% of pts
Vendarsol
,LV diastolic filling. - Correct Answer-In MS HR increases
w/ pulm edema therefore control HR to allow
RHF: Hepatic congestion, JVD, Tricuspid regurg & RAE
RVP overload, RVH, RV failure
Increased Pulm HTN, Pulm congestion, LAE, Afib, LA
thrombi and increased LAP = decreased LV filling - Correct
Answer-MS pathology
Fatigue, palpitations, cough, SOB, LHF (orthopnea & PND)
Afib, systemic emboli, pulm infection, hemoptysis, RHF
(hepatic congestion & edema), and
Worse with conditions that increase CO (exertion, fever,
anemia, tachy, Afib, intercourse, pregnancy, and
thyrotoxicosis) - Correct Answer-MS symptoms
Small volume pulse
Tapping apex
Palpable S1 & S2
+/- palpable OS
RV lift - Correct Answer-Recognizing MS on palpation
Vendarsol
, LAE, Afib or flutter, RVH, and RAD; premature
contractions - Correct Answer-Recognizing MS on EKG
Loud S1 (as loud as S2 in aortic area)
A2 to OS interval inversely proportional to severity
Diastolic rumble: length proportional to severity
Severe MS w/ low flow - S1, OS & rumble may be inaudible -
Correct Answer-Recognizing MS on auscultation
S1 accentuated & snapping
OS after aortic valve closure
Low pitch diastolic rumble at apex
Pre-systolic accentuation (esp if in NSR) - Correct Answer-
MS on physical exam
higher the LAP, LV falls below LAP, and MV opens -
Correct Answer-The more severe the MS the _________ the
LAP, the earlier the _________ falls below the _______ and
the _________ opens
Atrial dysrrhythmias
Systemic emobli (related to age, Afib, & Hx of emboli)
CHF
Vendarsol
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Vendarsol. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $27.99. You're not tied to anything after your purchase.
